National Provider Identifier Database

CCENT FPS
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.


Contact Information

CCENT & FPS
300 W WHITE MOUNTAIN BLVD
SUITE D
LAKESIDE, AR85929-6533
Phone: 928-774-1873
Fax:
Website:
Specialty Taxonomy Code
* Allergy & Immunology 207K00000X
Otolaryngology/Facial Plastic Surgery 207YX0905X

* Indicates primary specialty

NPI Profile & details for CCENT & FPS

NPI Number 1467629469
Legal business name
LBN
CCENT & FPS
Authorized official TAMARAH FRATIANNI - (PHYSICIAN)
Entity Organization
Organization subpart Yes
Enumeration date 05/09/2008
Last updated 05/09/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 3000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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